Provider Demographics
NPI:1235836719
Name:MOUNTAIN AREA GROUND NON-EMERGENCY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MOUNTAIN AREA GROUND NON-EMERGENCY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-713-6369
Mailing Address - Street 1:PO BOX 1851
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-1851
Mailing Address - Country:US
Mailing Address - Phone:828-782-0503
Mailing Address - Fax:
Practice Address - Street 1:1095 HENDERSONVILLE RD STE C-5
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1891
Practice Address - Country:US
Practice Address - Phone:828-782-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport